NPIMap

Organization Active NPI

Woodhaven Therapy, Inc.

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1881451243
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WOODHAVEN THERAPY, INC.
Practice address
5520 S Macadam Ave Ste 210
Portland, OR 97239-3747
Phone
(503) 893-4671
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca E Jones, LPC LMHCNPI 1104157981
Title
Co-Owner
Phone
(503) 893-4671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5520 S Macadam Ave Ste 210
Portland, OR 97239-3747

Mailing address

5520 S Macadam Ave Ste 210
Portland, OR 97239-3747
Phone (503) 893-4671

National Provider Directory

National Provider Directory

Locations

5520 S Macadam Ave
Ste 210
Portland, OR 97239
Phone (503) 893-4671

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1881451243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 S MACADAM AVE STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393747",
            "telephone_number": "503-893-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 S MACADAM AVE STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393747",
            "telephone_number": "503-893-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "503-893-4671",
        "authorized_official_credential": "LPC LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.